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Diabetes Educ. 2013 Jul-Aug;39(4):478-93. doi: 10.1177/0145721713491438. Epub 2013 Jun 7.

Evaluation of a community health worker pilot intervention to improve diabetes management in Bangladeshi immigrants with type 2 diabetes in New York City.

Author information

1
Center for the Study of Asian American Health, NYU School of Medicine, New York, New York (Dr Islam, Ms Wyatt, Ms Patel, Dr Shapiro, Dr Rey, Dr Trinh-Shevrin)
2
Department of Medicine, Division of General Internal Medicine, NYU School of Medicine, New York, New York (Dr Islam, Dr Tanner, Dr Trinh-Shevrin)
3
Department of Pediatrics, The Johns Hopkins Children’s Center, Baltimore, Maryland (Dr Tandon)
4
South Asian Council for Social Services, New York, New York (Dr Mukherji-Ratnam)
5
Department of Psychology SUNY College at Old Westbury, Old Westbury, New York (Dr Mukherji-Ratnam)
6
Community Health Affairs, NYU School of Medicine, New York, New York (Dr Rey)

Abstract

PURPOSE:

The purpose of this study is to explore the impact and feasibility of a pilot Community Health Worker (CHW) intervention to improve diabetes management among Bangladeshi-American individuals with type 2 diabetes living in New York City.

METHODS:

Participants were recruited at clinic- and community-based venues. The intervention consisted of 6 monthly, CHW-facilitated group sessions on topics related to management of diabetes. Surveys were collected at baseline and follow-up time points. Study outcomes included clinical, behavioral, and satisfaction measures for participants, as well as qualitative measures from CHWs.

RESULTS:

Improvements were seen in diabetes knowledge, exercise and diet to control diabetes, frequency of checking feet, medication compliance, and self-efficacy of health and physical activity from baseline to 12 months. Additionally, there were decreases in A1C, weight, and body mass index. Program evaluation revealed a high acceptability of the intervention, and qualitative findings indicated that CHWs helped overcome barriers and facilitated program outcomes through communal concordance, trust, and leadership.

CONCLUSIONS:

The intervention demonstrated high acceptability and suggested efficacy in improving diabetes management outcomes among Bangladeshi immigrants in an urban setting. The US Bangladeshi population will continue to increase, and given the high rates of diabetes, as well as linguistic and economic barriers faced by this community, effective and culturally tailored health interventions are needed to overcome barriers and provide support for diabetes management.

PMID:
23749774
PMCID:
PMC3912744
DOI:
10.1177/0145721713491438
[Indexed for MEDLINE]
Free PMC Article

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